Active NPI
Burnet Hospice Care, Incorporation
Doing business as Reliance Hospice and Palliative Care
- Community Based Hospice Care Agency
- Cerritos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- BURNET HOSPICE CARE, INCORPORATION
- Doing business as
- Reliance Hospice and Palliative Care
- Practice address
- 18000 Studebaker Rd Ste 110
Cerritos, CA 90703-2684 - Phone
- (323) 446-4493
- Fax
- (323) 544-4987
- NPI assigned
- May 2, 2011
- Last updated
- Aug 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Phan
- Title
- President
- Phone
- (323) 446-4493
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
18000 Studebaker Rd Ste 110
Cerritos, CA 90703-2684
Mailing address
19750 S. Vermont Ave
Suite 160
Torrance, CA 90502-9900
Phone (323) 446-4493
Other names 1
- Reliance Hospice and Palliative Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1457642977. Details of each certification follow.
Hospice certification: CCN 551675
- Legal name
- BURNET HOSPICE CARE INCORPORATION
- Doing business as
- RELIANCE HOSPICE AND PALLIATIVE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 17, 2012
- Last certification
- Feb 29, 2020
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- Corporation
- Enrollment address
- 17785 Center Court Dr N
Ste 640
Cerritos, CA 90703-9345
Care Compare: Hospice
Medicare Care Compare- Listed as
- Reliance Hospice and Palliative Care
- Ownership
- For-Profit
- Certified
- Sep 17, 2012
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2104341 | Burnet Hospice Care Inc | Certificate of waiver | Nov 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
17785 Center Court Dr N
Ste 640
Cerritos, CA 90703
Phone (323) 446-4493
18000 Studebaker Rd
Ste 110
Cerritos, CA 90703
Phone (323) 446-4493
5120 W Goldleaf Cir
Ste 250
Los Angeles, CA 90056
Phone (323) 446-4493
12235 Beach Blvd
Ste 104
Stanton, CA 90680
Phone (323) 446-4493
19750 S Vermont Ave
Ste 160
Torrance, CA 90502
Phone (877) 659-5998
7715 Burnet Ave
#C
Van Nuys, CA 91405
Phone (818) 442-9900
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Carelink, LLC | 5% Or Greater Direct Ownership Interest | Jun 20, 2013 | 100% |
| Bee Lu Khaw-Hone | W-2 Managing Employee | Aug 26, 2024 | |
| Mirta Maccio | W-2 Managing Employee | May 16, 2023 | 100% |
| Jean M Hunn | 5% Or Greater Indirect Ownership Interest | Jun 20, 2023 | 20% |
| Terence P Rhone | W-2 Managing Employee | Sep 1, 2023 | 100% |
| Andrew H Nguyen | 5% Or Greater Indirect Ownership Interest | Jun 20, 2013 | 80% |
| William Daniel Welsh | W-2 Managing Employee | Sep 15, 2025 | |
| Lauren T Phan | Corporate Officer | Nov 1, 2016 | 100% |
| Corporate Director | Nov 1, 2016 | 100% | |
| W-2 Managing Employee | Nov 1, 2016 | 100% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Whittier, CA
- NPI 1568401255
W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1457387482
-
- Family Nurse Practitioner
- Duarte, CA
- NPI 1558085068
-
- Family Nurse Practitioner
- Signal Hill, CA
- NPI 1497440119
Single Specialty
-
- Gerontology Nurse Practitioner
- Los Angeles, CA
- NPI 1407108061
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Whittier, CA
- NPI 1568401255
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691539200000",
"number": "1457642977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19750 S. VERMONT AVE",
"address_2": "SUITE 160",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905029900",
"telephone_number": "323-446-4493",
"fax_number": "323-544-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18000 STUDEBAKER RD STE 110",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032684",
"telephone_number": "323-446-4493",
"fax_number": "323-544-4987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURNET HOSPICE CARE, INCORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-02",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A",
"authorized_official_last_name": "PHAN",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-446-4493"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Reliance Hospice and Palliative Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Reliance Hospice and Palliative Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.